SUZANN SMITH (NPI# 1811220171) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1811220171 |
| Entity Type | Individual |
| Full Name | SUZANN SMITH |
| Credential | APRN |
| Practice Address |
94 Marie Langdon Dr Suite 2 Manchester KY 40962-6353 |
| Mailing Address |
509 Memorial Dr Suite 2 Manchester KY 40962-6195 |
| Practice Telephone | 6065999955 |
| Practice Fax Number | 6065999966 |
| Mailing Telephone | 6065981070 |
| Mailing Fax Number | 6065980983 |
| Enumeration Date | 2009-09-17 |
| Last Update Date | 2011-03-10 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
3006246 | KY | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| LICENSE | 48136 | 01 |
| Street Address |
94 MARIE LANGDON DR SUITE 2 |
| City | MANCHESTER |
| State | KY |
| Zip Code | 40962-6353 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801855150 | Willowbrook Womens Center | Specialist | 94 Marie Langdon Dr, Ste 4, Manchester, KY 40962-6353 | 2006-03-23 |
| 1770962961 | Judy Hacker | Nurse Practitioner | 94 Marie Langdon Dr, Suite 4, Manchester, KY 40962-6353 | 2015-05-21 |
| 1902208267 | Memorial Hospital, Inc. | Pediatrics | 94 Marie Langdon Dr, Suite 1, Manchester, KY 40962-6353 | 2014-09-18 |
| 1366619488 | James Delmar Dawson Jr. | Obstetrics & Gynecology | 94 Marie Langdon Dr, Suite 4, Manchester, KY 40962-6353 | 2008-05-08 |
| 1609040179 | Memorial Hospital, Inc. | Family Medicine | 94 Marie Langdon Dr, Suite 1, Manchester, KY 40962-6353 | 2008-04-16 |
| 1447470539 | Memorial Hospital, Inc. | Family Medicine | 94 Marie Langdon Dr, Manchester, KY 40962-6353 | 2007-04-30 |
| 1437375839 | Kishore Internal Medicine | Specialist | 94 Marie Langdon Dr, Suite 2, Manchester, KY 40962-6353 | 2007-04-17 |
| 1255471827 | Memorial Hospital Inc. | Pediatrics | 94 Marie Langdon Dr, Suite 4, Manchester, KY 40962-6353 | 2007-02-06 |
| 1508971524 | Ella Mae Mcdaniel | Nurse Practitioner | 94 Marie Langdon Dr, Ste 2, Manchester, KY 40962-6353 | 2006-08-20 |
| 1083627087 | Kishore Internal Medicine, Psc | Internal Medicine | 94 Marie Langdon Dr, Ste 2, Manchester, KY 40962-6353 | 2006-08-14 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609392356 | Angela Woods | Speech-Language Pathologist | 96 Woods Rd, Manchester, KY 40962 | 2017-08-15 |
| 1346627296 | Betty Alevras | Nurse Practitioner | 21 Crestview Drive, 204 Town Branch Road, Manchester, KY 40962 | 2015-04-29 |
| 1740525773 | Clay Community Pharmacy LLC | Pharmacy | 118 Clay Co S/c, Manchester, KY 40962 | 2012-12-03 |
| 1669758579 | Becky F Stubblefield | Nurse Practitioner | 65 Glenndale Drive, Manchester, KY 40962 | 2011-10-25 |
| 1891022315 | Sabrina Nicole Hacker | Occupational Therapist | 376 Manchester Square Shopping Centre, Manchester, KY 40962 | 2009-11-04 |
| 1114102167 | H&n Drug | Durable Medical Equipment & Medical Supplies | 515 Memorial Dr., Suite 2, Manchester, KY 40962 | 2008-01-08 |
| 1598944043 | Cumberland Valley Dist. Health Dept | Public Health or Welfare | 1983 Hwy 421, Manchester, KY 40962 | 2007-11-01 |
| 1023223203 | Dinah Lynn Sowders | Speech-Language Pathologist | 561 Mill Pond Drive, Manchester, KY 40962 | 2007-05-11 |
| 1104965300 | American Health Management, Inc. | Case Management | 2609 Hwy 80, Manchester, KY 40962 | 2007-02-05 |
| 1306902572 | Manchester Pharmacist Group LLC | Durable Medical Equipment & Medical Supplies | 415 Richmond Road, Unit B, Manchester, KY 40962 | 2006-12-29 |
| Find all providers in zip 40962 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316553233 | Anylen Ruiz Ayala | Nurse Practitioner | 109 W Center St, Manchester, CT 06040-4917 | 2020-09-16 |
| 1497368146 | Sarah Kuzara | Nurse Practitioner | 1069 Big Bend Crossing Dr, Manchester, MO 63088-1296 | 2020-08-24 |
| 1265068910 | Katelyn Denise Walker | Nurse Practitioner | 306 Boone Dr, Manchester, TN 37355-7820 | 2020-03-13 |
| 1780219659 | Ashlynn Fogg | Nurse Practitioner | 1750 Elm St Ste 201a, Manchester, NH 03104-2903 | 2020-03-11 |
| 1922669357 | Heather Rogers Hansen | Nurse Practitioner | 1279 S Willow St Ste E, Manchester, NH 03103-4015 | 2019-06-26 |
| 1619433802 | Samantha Ashley Case | Nurse Practitioner | 635 Clay St Fl 1, Manchester, NH 03103-4507 | 2019-02-13 |
| 1538640420 | Isaac Okyere Ampofo | Nurse Practitioner | 629 Middle Turnpike East, Manchester, CT 06040-3571 | 2018-08-28 |
| 1730675562 | Hannah E Boutselis | Nurse Practitioner | 1750 Elm St., Suite 201a, Manchester, NH 03104 | 2018-07-04 |
| 1952817371 | Rodrick Emmanuel Thomas | Nurse Practitioner | 553 S Commercial St Apt 309, Manchester, NH 03101-2749 | 2017-12-20 |
| 1063950160 | Kacy Mikala Kirk | Nurse Practitioner | 183 Roberts Creek Cir, Manchester, TN 37355-3690 | 2017-02-08 |
| Find all providers in MANCHESTER | ||||
| City | MANCHESTER |
| Zip Code | 40962 |
Please comment or provide details below to improve the information on SUZANN SMITH.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.